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Updated: May 2, 2026

A Structured Rehabilitation Protocol for Improved Multifunctional Prosthetic Control: A Case Study
Published on: November 7, 2015
A 7-Year Follow-up: Managing Biomechanics, Function, and an Esthetic Disability
Kris Swanson1, Leon Hermanides2
1Clinical Instructor and Course Facilitator, Kois Center, Seattle, Washington; Private Practice, Bellevue, Washington.
This 7-year follow-up shows a conservative, interdisciplinary dental treatment approach achieved long-term functional stability and improved esthetics for an adult patient with an esthetic disability. The risk-based protocol minimized invasiveness, avoiding orthodontics for a successful outcome.
Area of Science:
- Restorative Dentistry
- Esthetic Dentistry
- Evidence-Based Dentistry
Background:
- Adult patients with esthetic disabilities often require complex treatment.
- Risk-based protocols guide conservative management strategies.
- Minimally invasive and functional stability are key treatment goals.
Purpose of the Study:
- To detail a 7-year follow-up of restorative treatment for an adult esthetic disability.
- To evaluate the long-term success of a conservative, interdisciplinary approach.
- To highlight risk management in dental treatment planning.
Main Methods:
- Comprehensive restorative treatment utilizing risk-based protocols.
- Prioritization of minimal invasiveness and functional stability.
- Interdisciplinary and conservative treatment planning, avoiding orthodontics.
Main Results:
- Long-term success demonstrated over a 7-year period.
- Managed risks associated with the restorative treatment.
- Predictable outcomes achieved through the chosen approach.
Conclusions:
- The interdisciplinary, conservative approach is predictable for managing esthetic disabilities.
- Minimal invasiveness and functional stability can be achieved without orthodontics.
- The treatment enhanced the patient's quality of life with lasting esthetic and functional results.
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